Is It Normal to Experience Blurriness After Cataract Surgery? - Ophthalmology

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Cataract surgery


After cataract surgery, experiencing shaking or jittery vision and not noticing a significant improvement in eyesight can occur, but it is not considered a typical outcome.
An increase in floaters is also not uncommon after the procedure.
However, these symptoms should be evaluated by an ophthalmologist to rule out any complications or underlying issues.

Mr. Wang, 20~29 year old female. Ask Date: 2017/12/12

Dr. Cai Wenyuan reply Ophthalmology


Hello, it is common to experience noticeable floaters after cataract surgery, but regular check-ups are still necessary.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/12/12

More Info


After cataract surgery, it is not uncommon for patients to experience a variety of visual disturbances, including blurriness, fluctuations in vision, and an increase in floaters (the "flying spots" you may see in your field of vision). These symptoms can be concerning, but they are often part of the healing process.

1. Blurriness: It is typical for vision to be blurry immediately after cataract surgery. The eye is healing, and the new intraocular lens (IOL) may take some time for the brain to adjust to. This blurriness can be influenced by several factors, including swelling of the cornea, the presence of residual cataract material, or even the healing of the incision made during surgery. Most patients notice a gradual improvement in their vision over the weeks following the procedure.

2. Visual Fluctuations: Many patients report that their vision fluctuates in the days and weeks following cataract surgery. This can be due to changes in the eye's shape as it heals, as well as the settling of the IOL. It is essential to follow up with your ophthalmologist, who can monitor your healing process and ensure that everything is progressing as expected.

3. Increased Floaters: The appearance of new floaters after cataract surgery can also occur. Floaters are small clumps of gel or cells inside the vitreous, the clear gel that fills the eye. While some patients may notice an increase in floaters post-surgery, it is usually not a cause for alarm. However, if you experience a sudden increase in floaters, flashes of light, or a shadow in your peripheral vision, you should contact your eye doctor immediately, as these could be signs of a more serious condition, such as a retinal detachment.

4. Post-Operative Care: It is crucial to adhere to the post-operative care instructions provided by your surgeon. This may include using prescribed eye drops to reduce inflammation and prevent infection, avoiding strenuous activities, and attending follow-up appointments to monitor your recovery.

5. When to Seek Help: If your blurriness persists beyond a few weeks, or if you experience significant pain, redness, or any other unusual symptoms, you should reach out to your ophthalmologist. They can perform a thorough examination to rule out complications such as posterior capsule opacification (PCO), which is a common issue that can occur after cataract surgery and may require a simple outpatient procedure called YAG laser capsulotomy to correct.

In summary, while some degree of blurriness, visual fluctuations, and an increase in floaters can be normal after cataract surgery, it is essential to monitor your symptoms and maintain open communication with your healthcare provider. Regular follow-up visits will help ensure that your recovery is on track and that any potential complications are addressed promptly.

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